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Ankle fractures: a literature review of current treatment methods

Singh, Rohit, Kamal, Tamer, Roulohamin, Nick, Maoharan, Gopikanthan, Ahmed, Bessam and Theobald, Peter 2014. Ankle fractures: a literature review of current treatment methods. Open Journal of Orthopedics 04 (11) , pp. 292-303. 10.4236/ojo.2014.411046

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Abstract

Ankle fracture is one of the most common lower limb fractures for they account for 9% of all fractures representing a significant portion of the trauma workload. Ankle fractures usually affect young men and older women, however, below the age of 50; ankle fractures are the commonest in men. Two commonly used classification systems for ankle fractures include the danis weber AO classification and the Lauge-Hansen classification. There is biomechanical evidence that posterior non-locking plates are superior in stability than laterally placed plates; however there is little clinical evidence. There are several different methods of ankle fracture fixation, however the goal of treatment remains a stable anatomic reduction of talus in the ankle mortise and correction of the fibula length as a 1 mm lateral shift of the talus in the ankle mortise reduces the contact area by 42%, and displacement (or shortening) of the fibula more than 2 mm will lead to significant increases in joint contact pressures. Further research both biomechanically and clinically needs to be undertaken in order to clarify a preferable choice of fixation.

Item Type: Article
Date Type: Published Online
Status: Published
Schools: Engineering
Subjects: T Technology > TJ Mechanical engineering and machinery
Uncontrolled Keywords: Ankle Fracture, Review, Current Treatment, Classification, Management
Publisher: Scientific Research Publishing
ISSN: 2164-3008
Date of First Compliant Deposit: 30 March 2016
Date of Acceptance: 16 November 2014
Last Modified: 21 Feb 2019 17:16
URI: http://orca.cf.ac.uk/id/eprint/82192

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